Federal inspection record · CMS data as of October 1, 2026
Saint Helens Post Acute
75 Shore Drive, Saint Helens, OR · (503) 397-2713
- Cited for abuse (CMS abuse icon)
- Certified beds
- 92
- Residents per day
- 77
- Ownership
- For-Profit
- Chain
- Kalesta Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 4, 1991
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Oregon homes
Saint Helens Post Acute carries 167 inspection points. That is fewer than 4% of Oregon's 126 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oregon: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–41 pts
- 3★ 41–65 pts
- 2★ 65–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in Oregon by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
74 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care22E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- E
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide or obtain dental services for each resident.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Ensure the activities program is directed by a qualified professional.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Freedom from Abuse, Neglect, and Exploitation10E
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Rights9E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning7F
- F
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration6F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- F
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nursing and Physician Services5F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- C
Post nurse staffing information every day.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Observe each nurse aide's job performance and give regular training.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental3F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pharmacy Service3E
- D
Ensure medication error rates are not 5 percent or greater.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspection history
2026-04-27
24 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (12 deficiencies)
2025-01-21
24 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-09-12
26 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 11 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
4 h 11 min
Oregon average
5 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$14,613 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-17 | Fine | $14,613 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 0.9 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 1.6 | 2.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 100.0% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.9 pts worse | 88.1% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better | 1.0% | 2.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts better | 3.6% | 4.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.5 pts better | 2.1% | 4.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts better | 10.7% | 12.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.1 pts better | 13.2% | 14.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.6 pts better | 11.0% | 18.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts better | 12.8% | 14.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.7% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts better | 0.0% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.7 pts better | 20.1% | 20.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 5.5% | 5.6% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14 pts better | 99.8% | 85.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts worse | 16.5% | 16.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse | 2.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11 pts worse | 69.9% | 80.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.2 pts better | 15.7% | 21.9% | 23.4% |
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Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Kalesta Healthcare Group, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 19 facilities |
| Clawson, Scott | 5% Or Greater Indirect Ownership Interest · Individual | 44% | 34 facilities |
| Williams, Ryan | 5% Or Greater Indirect Ownership Interest · Individual | 44% | 28 facilities |
| Clawson, Scott | Indirect Ownership Interest · Individual | 0% | 34 facilities |
| Clawson, Scott | Corporate Officer · Individual | 0% | 34 facilities |
| Johansen, Julie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Johansen, Julie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sanchez, Stephen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sanchez, Stephen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Williams, Ryan | Corporate Officer · Individual | 0% | 28 facilities |
·
Fire safety
29 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Emergency Preparedness8F
- F
Conduct testing and exercise requirements.
- F
Establish emergency prep training and testing.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Develop Emergency Preparedness policies and procedures.
- F
Establish policies and procedures including evacuation.
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Address patient/client population and determine types of services needed.
Miscellaneous8F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1D
- D
Meet other general requirements that are deficient.
·
Other homes nearby
-
Woodland Convalescent Center
Woodland, WA
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 24 min
- Fines
- $26,888
-
Avalon Care Center - Scappoose
Scappoose, OR · Avalon Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 13 min
- Fines
- $0
-
Salmon Creek Post Acute & Rehabilitation
Vancouver, WA · Hill Valley Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 7 min
- Fines
- $0